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Fraud Advisor

ConsultantConsultantFull TimeRemoteMid LevelTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

107 days ago

Salary

$85.4K - $142K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Fraud Advisor

The Cigna Group

The job profile for this position is Fraud Advisor, which is a Band 4 Senior Contributor Career Track Role. Excited to grow your career? We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply! Our people make all the difference in our success. The Fraud Advisor supports the identification, development, and resolution of fraud, waste, and abuse (FWA) investigations across the healthcare environment. This role applies investigative judgment, data analysis, and collaboration with cross‑functional partners to assess risk, document findings, and support program integrity efforts. Primary Responsibilities Include: - Apply advanced professional knowledge to effectively manage complex fraud, waste, and abuse concerns involving prescriber and pharmacy activity on behalf of client needs and expectations, independently and with minimal management oversight. - Identify and recommend solutions to improve SIU workflows and address operational weaknesses through process improvement initiatives. - Assist with training, case staffing, and End2End review support for new and seasoned investigators on an ongoing basis. - Work independently and collaboratively with internal and external business partners to oversee and execute projects and requests responsive to client needs. - Collaborate with fraud leadership and cross‑functional partners to identify trends, mitigate emerging risks, and enhance enterprise fraud prevention strategies. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 85,400 - 142,300 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

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Consultant107 days ago
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Virtual Travel Advisor

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Hopes Global Getaways is a remote travel planning company powered by a full-service travel agency that specializes in destination weddings, honeymoons, cruises, family vacations, and luxury getaways. We partner with top global travel brands to design seamless, memorable travel experiences for clients worldwide. Our mission is to help travelers plan unforgettable vacations while offering flexible, remote opportunities for individuals who are passionate about travel and customer service. Position Snapshot We are looking for motivated individuals who enjoy assisting others and want to be part of a supportive travel services team. As a Virtual Travel Advisor, you will help coordinate personalized travel arrangements for clients while working in an online environment with schedule flexibility. This opportunity is ideal for people who are organized, comfortable communicating with clients, and interested in building knowledge within the travel planning space. Step-by-step instruction and ongoing support are available to help new team members get started successfully. What You'll Do - Assist clients with arranging vacation experiences including resorts, flights, cruises, and activities - Explore destination possibilities that match traveler interests and preferences - Share helpful recommendations and general travel guidance - Stay connected with clients using digital communication tools - Work with travel vendors to secure and verify reservation details - Review supplier promotions and updates to identify useful opportunities for travelers - Maintain accurate trip information within booking platforms - Provide attentive service throughout each stage of the planning journey What We're Looking For - Interest in supporting travelers as they prepare for upcoming trips - Clear communication skills and a professional approach with clients - Ability to manage multiple planning tasks in an organized manner - Confidence working independently in a virtual setting - Comfortable using online systems and research tools - Minimum age requirement of 18 years - Residency in the U.S., U.K., or another qualifying location - No previous travel background required; structured training is available What You Can Expect - Work-from-anywhere flexibility with adjustable scheduling - Guided onboarding resources plus continued learning support - Access to industry booking platforms and supplier networks - Travel-related savings and incentive opportunities - Potential pathways into advanced roles as experience grows

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